Individual
SIRAFIMA SHALOMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10470 QUEENS BLVD FL 2, FOREST HILLS, NY 11375-3638
(718) 275-6010
Mailing address
10470 QUEENS BLVD FL 2, FOREST HILLS, NY 11375-3638
(718) 275-6010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P07011
NY
Other
Enumeration date
06/24/2017
Last updated
03/17/2018
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